Pain in the Bottom : common reasons and their remedies.
4 mins read

Pain in the Bottom : common reasons and their remedies.

Anal pain (pain in the bottom, proctalgia) can be distressing, but is often  just the result of a minor, treatable condition.

Common causes of anal pain

1.Anal fissures:

An anal fissure is a small tear in the skin of the anus that can be caused by passing a large or hard poo.

Symptoms of an anal fissure can include:

  • a severe, sharp pain when doing a poo
  • a burning or gnawing pain that lasts several hours after doing a poo
  • rectal bleeding – you may notice a small amount of blood on the toilet paper after you wipe

Anal fissures can be very painful, but many heal on their own in a few weeks.

Some remedies :Increasing the amount of fibre in your diet, drinking plenty of fluids and taking laxatives and over-the-counter painkillers can help. If the pain persists, you may need special ointment that relaxes the ring of muscle around your anus. Occasionally, surgery may be needed to help the fissure heal.

2.Haemorrhoids (piles) :Haemorrhoids (piles) are swellings containing enlarged blood vessels that are found inside or around the bottom. They’re often thought to be caused by straining on the toilet as a result of prolonged constipation. In many cases, haemorrhoids don’t cause symptoms.

Symptoms :

  • bleeding after doing a poo
  • an itchy bottom
  • feeling like there’s a lump in or around your anus
  • soreness and redness around your anus
  • anal pain, if the blood supply to the haemorrhoid becomes blocked or interrupted

for example, by a blood clot

The symptoms often pass after a few days. Increasing the amount of fibre in your diet, drinking plenty of fluids and taking laxatives and over-the-counter painkillers can help.If the pain doesn’t settle down consult a doctor . Please get examined before you start believing that bleeding is due to piles .

3.Anal fistulas and abscesses:

An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus. It’s usually caused by an infection near the anus resulting in a collection of pus (an abscess).

Symptoms :

  • a constant, throbbing pain that may be worse when you sit down
  • skin irritation around the anus
  • passing pus or blood when you poo
  • swelling and redness around your anus
  • a high temperature (fever)

Get examined :Your doctor may prescribe antibiotics if an abscess is picked up early on. If it persists, it may need to be drained in hospital.

If a fistula develops, surgery will usually be needed because they rarely heal by themselves.Fistulas can be due to Crohn’s disease . Please get investigated & avoid self medication.

Less common causes of anal pain include:

Proctalgia fugax – a condition that causes episodes of sudden, severe anal pain that last for a few minutes at a time; medication that relaxes the muscles in the pelvis may help

levator ani syndrome – an aching or pressure sensation in and around the anus that may be constant or last for hours or days at a time; treatment to relax the muscles in the pelvis may help

Inflammatory bowel disease such as Crohn’s disease – other symptoms can include tummy cramps, bloody diarrhoea and weight loss; Please get investigated

an infection – such as a fungal infection or rectal sexually transmitted infection (STI)

a bone-related problem – such as coccydynia (tailbone pain) or pain that spreads from your lower back, pelvis or hips, caused by arthritis or bone tumours

a urinary tract problem – such as prostatitis (inflammation or infection of the prostate gland)

cancer of the anus or lower rectum – this can have similar symptoms of haemorrhoids and anal fissures, but is much rarer

See your Doctor if .

your pain is severe or your pain doesn’t improve after a few days

you also experience rectal bleeding , never label it to piles , get investigated.

Have a good day!

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